Organization Active NPI

Audiology and Speech Pathology, Inc

  • Audiologist
  • West Palm Beach, FL
National Provider Identifier
1285637892
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
AUDIOLOGY AND SPEECH PATHOLOGY, INC
Practice address
3540 Forest Hill Blvd
Ste 205
West Palm Beach, FL 33406-5878
Phone
(561) 649-4006
Fax
(561) 969-6621
NPI assigned
May 27, 2005
Organization subpart
Yes
Parent organization
NORTHLAND HEARING CENTERS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mel Grant, AU.D.NPI 1598768186
Title
President
Phone
(561) 649-4006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X FL Primary

Addresses

Primary practice location

3540 Forest Hill Blvd
Ste 205
West Palm Beach, FL 33406-5878

Mailing address

3540 Forest Hill Blvd
Ste 205
West Palm Beach, FL 33406-5878
Phone (561) 649-4006

Other identifiers 4

IdentifierTypeStateIssuer
600037108MedicaidFL
T0938OtherFLBCBS
600037110MedicaidFL
600037100MedicaidFL

National Provider Directory

National Provider Directory
Part of
Northland Hearing Cntrs Inc

Locations

509 US Highway 1
Ste 1
Lake Park, FL 33403

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1285637892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 FOREST HILL BLVD",
            "address_2": "STE 205",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065878",
            "telephone_number": "561-649-4006",
            "fax_number": "561-969-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 FOREST HILL BLVD",
            "address_2": "STE 205",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065878",
            "telephone_number": "561-649-4006",
            "fax_number": "561-969-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY AND SPEECH PATHOLOGY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHLAND HEARING CENTERS, INC.",
        "enumeration_date": "2005-05-27",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "MEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-649-4006",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600037108",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "T0938",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600037110",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600037100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.